Organization
INTERNAL MEDICINE CLINIC OF GRAPEVINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE LOWE (OFFICE MANAGER)
(817) 481-1511
Entity
Organization
Contact information
Practice address
1600 W COLLEGE ST, #490, GRAPEVINE, TX 76051-3580
(817) 481-1511
Mailing address
1600 W COLLEGE ST, #490, GRAPEVINE, TX 76051-3580
(817) 481-1511
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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